IDENTIFYING THE ROOT CAUSES FOR LOW PERFORMANCE
A national health program is delivering commodities, running programs, and reporting to donors — yet stockouts persist, delivery timelines slip, and no one can explain why. Data is collected, but it is unreliable and decisions aren't made with it. Investments are made, but performance doesn't move.
The problem is rarely a lack of effort. Without a structured, evidence-based picture of the supply chain, improvement efforts become guesswork — fixing symptoms instead of causes
Fix causes, not symptoms.
THE GLOBAL HEALTH MATURITY MODEL
Supply chain excellence is reached through many small, deliberate steps of continual improvement — not a single leap.
BW Alliance brings the GHMM to countries with unique authority — our founder co-authored the model.
Fernanda Debellian co-developed the GHMM with ASCM and continues to shape its evolution and application in countries around the world.
The Global Health Maturity Model (GHMM) is a structured framework for assessing how mature a health supply chain is — and for guiding the right improvements, with the highest impact.
Developed with ASCM (the Association for Supply Chain Management) and grounded in the globally recognized SCOR framework, the GHMM:
From demand and supply planning to inventory, warehousing, transportation, end-to-end visibility, expiration management, and workforce development.
Evaluates performance across the full supply chain
From foundational practice (Level 1) to optimized, best-in-class practice (Level 5).
Scores each category against five maturity levels
The bottlenecks that most limit performance — and how they shift as the chain matures.
Pinpoints weakest-link constraints
A MODEL REFINED OVER YEARS AND PROVEN IN THE FIELD
The GHMM has evolved through nearly a decade of field application, stakeholder feedback, and continuous investment — from a spreadsheet tool to a global standard for health supply chain maturity.
2018
GHMM V7
Spreadsheet-based tool developed and owned by the World Food Programme (WFP).
2018
GHMM V8
Moves to the cloud — digital surveys and dashboards, available at no cost via ASCM.
2019
GATES FOUNDATION GRANT
ASCM is awarded a BMGF grant to improve, manage, and steward the model going forward
2023
GHMM V9
Redesigned from user and stakeholder feedback; owned, hosted, and maintained by ASCM with custom dashboards.
2025
GHMM V9.1
New Sustainability pillar assessing country readiness to transition from donor funding to self-reliance.
REFINED OVER YEARS
PROVEN IN THE FIELD
200+
ASSESSMENTS CONDUCTED
The GHMM has evolved through nearly a decade of field application, stakeholder feedback, and continuous investment.
29
COUNTRIES ASSESSED
4
LANGUAGES · EN · FR · PT · ES
Key Supply Chain Processes
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Demand Planning
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Supply Planning
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Procurement
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Facility Inventory Management
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Facility Order Management
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Store Inventory Management
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Store Order Management
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Warehouse / Store Operations
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Transportation
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​Expiry & Waste Management
WHAT THE GHMM ASSESSES
21 supply chain categories across four strategic pillars — plus a new Sustainability pillar in V9.1. Every category maps directly to the SCOR framework.
Strategy & Governance
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Strategy & Governance
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Fund Management
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Financial Management
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Staff Training
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Patient-Focused Performance
Technology Enablement
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Health Facility Visibility
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Warehouse / Store Visibility
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Performance Management
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Analysis & Evaluation
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Infrastructure & Assets
Key Metrics
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Key Supply Chain Performance Metrics
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Decision-ready KPIs
NEW IN V9.1
SUSTAINABILITY
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Strategy Implementation
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Risk Management
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Emergency Response Readiness
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Sustainable Health Financing
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Responsible Resource Mgmt.
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Private Sector Engagement
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Continual Improvement
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Regulatory Body
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Equity & Access
EACH CATEGORY IS SCORED AGAINST FIVE MATURITY LEVELS
LEVEL 1
Reactive
Supply Chain
LEVEL 2
Reactive Efficient
Supply Chain
LEVEL 3
Integrated Enterprise
Supply Chain
LEVEL 4
Extended Enterprise
Supply Chain
LEVEL 5
Orchestrated
Supply Chain
From ad hoc, foundational practice (Level 1) to optimized, best-in-class performance with full integration across partners (Level 5). The assessment is a facilitated, qualitative exercise led by an unbiased third party in a five-day workshop — including end-to-end assessment, supply chain mapping, a prioritization-versus-effort matrix, and an improvement roadmap.